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  • Claims Adjuster

    Network Adjusters, Inc. 4.1company rating

    Claims adjuster job in Denver, CO

    Network Adjusters is seeking experienced General Liability and/or Construction Defect Claims Adjusters to join our third-party administrative insurance handling team. This role supports the investigation, evaluation, negotiation, and resolution of third-party construction defect claims, including property damage and liability exposures, while delivering consistent, high-quality claims management in alignment with industry best practices. This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities. About the Role Construction Defect Claims Adjusters are responsible for managing complex third-party claims related to construction projects from inception through closure. Claims may include third-party property damage, bodily injury, and other specialized construction-related exposures of varying complexity and severity. In this role, you will investigate losses, analyze policy language, evaluate damages, determine coverage, negotiate settlements, and handle litigated matters as needed while maintaining clear, professional communication with all involved parties. Adjusters routinely conduct site inspections, gather statements from claimants, witnesses, and contractors, coordinate with external experts, and ensure all claim activity complies with state-specific regulations and Network Adjusters' Best Claims Practices. This is a desk-based role. Responsibilities Apply in-depth knowledge of General Liability and Construction Defect claims to manage complex third-party property damage, bodily injury, and related losses Deliver high-quality customer service to insureds, claimants, carrier clients, and internal stakeholders Review and analyze coverage by applying policy conditions, provisions, exclusions, and endorsements, and address jurisdictional considerations such as negligence laws, immunity, and financial responsibility limits Investigate claims to determine liability and potential sources of recovery by contacting, interviewing, and coordinating with appropriate parties and external experts Effectively manage litigated claims, including coordination with defense and coverage counsel Establish, document, and maintain appropriate claim and expense reserves in a timely manner Develop and execute plans of action for claim resolution, including diary management and timely follow-up Determine settlement values using independent judgment, applicable limits, and deductibles, and negotiate settlements within assigned authority Draft denial letters, reservation of rights, tenders, and other routine or complex claim correspondence Identify and pursue subrogation opportunities when applicable Prepare client-specific reports and detailed claim analyses, and consult with senior technical staff to ensure proper file handling Document all claim activity in accordance with established procedures and Best Practices Ensure compliance with all state-specific regulatory requirements and quality standards Manage multiple competing priorities to ensure timely payments, follow-up, and claim resolution Qualifications 2-5 years of claims handling experience, preferably in third-party General Liability and/or Construction Defect College or technical degree, or equivalent relevant business experience Ability to obtain and maintain required adjuster licenses, including completion of continuing education Strong analytical, investigative, decision-making, and negotiation skills, with the ability to manage conflict effectively Excellent verbal and written communication skills, with a customer-focused and empathetic approach Strong organizational and time management skills with the ability to multitask in a fast-paced environment High attention to detail, accuracy, confidentiality, and sound judgment Proficiency in MS Word, Outlook, Excel, and standard business software Bilingual proficiency preferred but not required Compensation & Benefits Salary: $75,000-$100,000 annually (based on licensure, certifications, and experience) Training, development, and career growth opportunities 401(k) with company match and retirement planning Paid time off and company-paid holidays Comprehensive medical, dental, and vision insurance Flexible Spending Account (FSA) Company-paid life insurance and long-term disability Supplemental life insurance and optional short-term disability Strong work/family and employee assistance programs Employee referral program Location 📍 Denver, CO (On-site) Remote opportunities may be available for experienced candidates who meet all required criteria. About Network Adjusters Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
    $75k-100k yearly 2d ago
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  • Claims Research & Resolution Representative 2

    Humana 4.8company rating

    Claims adjuster job in Denver, CO

    **Become a part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve customer contact, investigation, and resolution of claims or claims-related financial issues. The position includes moderately complex call center, administrative, operational and customer support assignments. Workload is typically semi-routine assignments along with intermediate level math computations. This is an opportunity to work remotely and use your research, resolution and customer service skills to join a Fortune 100 company with a great culture and outstanding benefits. Humana values associate engagement and well-being. We also provide excellent professional development and continued education. **The claims inbound call center is comprised of a group of calls / claims / provider** **associates researching the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and collection services in the resolution of claims. Responsibilities include: + Taking inbound calls to address customer needs which may include complex financial recovery, answering questions, and resolving issues. + Recording notes with details of inquiries, comments or complaints, transactions or interactions and taking action accordingly. + Escalation of unresolved and pending customer inquiries. + Decisions are typically focused on interpretation of area or department policy and methods for completing assignments. + Standard policies and practices allow for some opportunity for interpretation / deviation and / or independent discretion. Work is within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization and timing, and works under minimal direction. **Use your skills to make an impact** **Required Qualifications** + **1 or more years of Call Center or Telephonic customer service experience (within the past 5 years)** + **Previous healthcare related experience or education** + Basic Microsoft Office (Word, Excel, Outlook, and Teams) skills + Strong technical skills with the ability to work across multiple software systems + Self-reliance with the ability to resolve issues independently with minimum supervision + Ability to use internal system resources (i.e., Mentor) to find a resolution to an issue and/or respond to an inquiry + Demonstrated time management and prioritization skills + Ability to manage multiple or competing priorities + Capacity to maintain confidentiality working remotely out of your home **Required Work Schedule** **Training** + Virtual training starts on day one of employment and will run for the first 8 to 10 weeks with a schedule of 8:00 AM to 4:30 PM Eastern, Monday - Friday. + **Attendance is vital for your success; no time off will be allowed during training.** + The initial 180 days of employment as a Claims Research & Resolution Representative 2 constitute an appraisal period. This Appraisal Period is essential to your learning and development, which is why we ask for perfect attendance during both the classroom training and nesting periods. + This position requires learning many systems, policies, and tools, and it takes time to become proficient in the role. **You must be willing to remain in this position for a period of eighteen (18) months before applying to other Humana opportunities.** **Work Hours** + Following training, must be able to work an assigned 8-hour shift between the hours of 8:00 AM to 6:00 PM Eastern. + Overtime _may_ be offered, based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery experience + Previous experience with Mentor software + PrePay or Post Pay experience + CAS, CIS or CISPRO experience + CRM experience **Additional Information** ****PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT) **** **Work at Home Guidance** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **Interview Process** As part of our hiring process for this opportunity, we will be using technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. + **Text Prescreen:** Shortly after submitting your application, you may receive both a text message and email requesting you to complete 10 to 15 prescreen questions with either yes or no answers. The text message may arrive prior to the email. If you prefer to answer via computer or tablet, wait for the email. + **Video Prescreen:** If you are successful with the text prescreen, you will receive another communication to record a Video Prescreen. This is an online video activity using your phone, tablet, or computer; however, most candidates prefer using a computer or tablet. + **Interviews:** Some candidates will be invited to interview. If so, the recruiter will reach out to schedule. + **Offers:** Finalists from the interview will be contacted by a recruiter to discuss an offer for the job + **Note:** Depending on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters, this process may take several weeks or less; however, know that we are working hard to proceed as quickly as possible and to keep you informed. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $40,000 - $52,300 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $40k-52.3k yearly 54d ago
  • Property Field Claims Adjuster- Denver, Colorado

    Country Financial 4.4company rating

    Claims adjuster job in Denver, CO

    Experience more with a career at COUNTRY Financial! We're excited you're interested in a career at COUNTRY as we strive toward our vision - to enrich lives in the communities we serve. Our footprint spans coast to coast. But more important than where we operate, is the people who do the work. Apply today to help our organization grow and make a difference for our clients. About the role Investigates and maintains property claims. Determines liability, secures information, reviews coverages, arranges property damage appraisals, and settles claims.How does this role make an impact?- Investigates claims by determining applicable policy coverage, evaluates, negotiates and settles assigned claims. - Initiates contact with insureds, claimants, and all relevant parties to gather basic information, obtain recorded statements (when necessary), and explain the overall claims process. - Completes physical and/or virtual inspections of damaged property (when necessary), evaluates damages, and prepares written estimates according to policy provisions and liability.Do you have what we're looking for? Typically requires 4+ years of relevant experience or a combination of related experience, education and training. -Maintains the appropriate adjuster's licensing as required by the states in which we do business. -For Property-Field representatives only, excluding representatives in the Large Property Loss Unit: Part 107 drone license required for roof inspections. License must be obtained within 5 months of start date; must pass exam within 3 attempts. - This job operates in a professional office or work from home environment and routinely uses standard office equipment such as computers, phones, scanners and copy machines. - Work may extend beyond normal business hours as business needs dictate. - May be called upon for catastrophic duty. This position allows full-time field work within the territory for this position which includes Denver North to Fort Collins, Colorado and surrounding areas. #LI-REMOTE Base Pay Range: $64,800-$89,100 The base pay range represents the typical range of potential salary offers for candidates hired. Factors used to determine your actual salary include your specific skills, qualifications and experience. Incentive Pay: In addition to base salary, this position is eligible for a Short-Term Incentive plan. Why work with us? Our employees and representatives serve nearly one million households with our diverse range of personal and business insurance products as well as retirement and investment services. We build relationships and work together to create a stronger, more secure future for our clients and our communities. We're a big company, yet small enough you can make an impact and won't get lost in the shuffle. You'll have the opportunity to learn and grow throughout your career, either within this role or by exploring other areas of our business. You'll be able to take advantage of our benefits package, which includes insurance benefits (medical, dental, vision, disability, and life), 401(k) with company match. COUNTRY Financial is committed to providing equal opportunity in all areas of employment, and in providing employees with a work environment free of discrimination and harassment. Employment decisions are made without regard to race, color, religion, age, gender, sexual orientation, veteran status, national origin, disability, or any other status protected by applicable laws or regulations. Come join our team at COUNTRY today!
    $64.8k-89.1k yearly Auto-Apply 5d ago
  • Senior Environmental Claims Adjuster (CONTRACT)

    Argo Group International Holdings Ltd. 4.9company rating

    Claims adjuster job in Denver, CO

    Argo Group International Holdings, Inc. and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions. Job Description A Brief Overview We are looking for a highly capable Senior Environmental Claims Adjuster to help us on a temporary assignment through 12 December 2025 (and possibly through May 2026) and work from anywhere in the United States. This individual will report to a manager who works in New York City and is focused on adjudicating first and third party commercial environmental claims (mostly complex storage tank claims) and contributing to providing superb results for our clients. The primary duties and responsibilities of the role are: * Working under limited technical direction and within broad limits and authority, adjudicate moderately complex commercial environmental claims, potentially with significant impact on departmental results. * Solving difficult problems that requires an understanding of a broader set of issues. * Reporting to claims management and underwriters on claims trends and developments. * Investigating claims promptly and thoroughly * Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage. * Investigating claims promptly and thoroughly, including interviewing all involved parties. * Managing claims in litigation * Managing diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution. * Creates and reviews reserves in line with market and Argo's reserving policy * Identifying, assigning, and coordinating the assignment and coordination of expertise resources to assist in case resolution. * Preparing reports for file documentation * Applying creative solutions which result in the best financial outcome. * Settles straightforward claims in line with authority limits and adheres to organizational referral procedures * Negotiates in a timely and effective manner to provide cost effective solutions for the company and its customers within own limits using a range of negotiation styles. * Processing mail and prioritizing workload. * Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.). * Having an appreciation and passion for strong claim management. Core qualifications and requirements for this position include: * Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable). * An advanced knowledge of commercial environmental claims typically acquired through: * A minimum of five years' experience adjudicating commercial environmental claims. A minimum of two of these years MUST including managing commercial environmental claims involving mold and gasoline storage tank leakage. * Bachelor's degree from an accredited university required. Two or more insurance designations or four additional years of related experience adjudicating general liability bodily injury beyond the minimum experience required above may be substituted in lieu of a degree. * Licensed Claims Examiner (Based on state) Must be licensed or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims. within 120 Days. * Ability to regularly exercise discretion and independent judgment with respect to matters of significance. This role primarily faces problems and issues that generalized and typically not complex, but require an understanding of a broader set of issues. * Must have excellent communication skills and the ability to build lasting relationships. * Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking. * Desire to work in a fast-paced environment. * Excellent evaluation and strategic skills required. * Strong claim negotiation skills a must. Ability to take proactive and pragmatic approach to negotiation. * Must possess a strong customer focus. * Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines. * Demonstrates an understanding of mechanisms available for resolving claims settlement disputes (e.g. arbitration and mediation) and when these are used. * Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO. * Must demonstrate the ability to exercise sound judgment working under technical direction. * Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis. * Proficient in MS Office Suite and other business-related software. * Uses listening and questioning techniques to effectively gather information from insureds and claimants * Polished and professional written and verbal communication skills. Presents information clearly, concisely, and accurately. * Ability to effectively network, build and maintain relationships, and establish appropriate visibility with business partner * The ability to read and write English fluently is required. * Must demonstrate a desire for continued professional development through continuing education and self-development opportunities. * Licensed Claims Examiner (Based on state) Must be licensed or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims. within 120 Days The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. * Colorado outside of Denver metro, Maryland, Nevada, and Rhode Island Pay Ranges: $47.69 - $56.78 per hour * California outside of Los Angeles and San Francisco metro areas, Connecticut, Chicago metro area, Denver metro area, Washington State, and New York State (including Westchester County) Pay Ranges: $52.50 - $62.45 per hour * Los Angeles, New York City and San Francisco metro areas Pay Ranges: $57.26 - $68.17 per hour About Working in Claims at Argo Group Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful. Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is. We have a very flat organizational structure, enabling our employees have more interaction with our senior management team, especially when it relates to reviewing large losses. Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas. We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply. PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas. If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at ************. Notice to Recruitment Agencies: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions. We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics. The collection of your personal information is subject to our HR Privacy Notice Benefits and Compensation We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.
    $47.7-56.8 hourly Auto-Apply 60d+ ago
  • Workers' Compensation Claim Specialist (CO)

    Ccmsi 4.0company rating

    Claims adjuster job in Greenwood Village, CO

    Workers' Compensation Claim Specialist (CO jurisdiction, some UT possible) Hours: Monday - Friday, 8:00 AM to 4:30 PM Salary Range: $60,000-$98,000 (experience considered) Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. The Workers' Compensation Claim Specialist is responsible for the investigation and adjustment of assigned claims. This position may be used as an advanced training position for promotion consideration for supervisory/management positions. The Claim Representative is accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards. Important - Please Read Before Applying This is a true insurance claims adjusting role, not an HR, benefits, safety, consulting, or administrative position. Candidates must have direct experience investigating, evaluating, reserving, negotiating, and resolving claims as an adjuster or adjuster supervisor within a carrier, TPA, or similar claims environment. Applicants without hands-on adjusting experience will not be considered. Responsibilities When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems. Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws. Establish reserves and/or provide reserve recommendations within established reserve authority levels. Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution. Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority. Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate. Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.) Review and maintain personal diary on claim system. Assess and monitor subrogation claims for resolution. Compute disability rates in accordance with state laws. Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process. Provide notices of qualifying claims to excess/reinsurance carriers. Compliance with Corporate Claim Handling Standards and special client handling instructions as established. Qualifications What You'll Bring Demonstrated knowledge of workers' compensation claim handling, including indemnity claims Experience managing multiple client accounts across varied industries Colorado workers' compensation claim experience Strong analytical, organizational, and problem-solving skills with consistent attention to detail Ability to manage competing priorities in a fast-paced claims environment Excellent written and verbal communication skills with internal and external stakeholders Strong customer service orientation with a commitment to accurate, compliant claim outcomes Reliable, predictable attendance during established client service hours Nice to Have Experience handling claims in Utah Professional designations such as AIC, ARM, or CPCU Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required Why You'll Love Working Here 4 weeks PTO + 10 paid holidays in your first year Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) Career growth: Internal training and advancement opportunities Culture: A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #WorkersCompensation #HybridWork #ClaimsAdjuster #InsuranceCareers #WorkersCompSpecialist #AdjusterJobs #CareerAdvancement #FlexibleWork #ExperiencedAdjuster #WorkComp #IND123 #LI-Hybrid
    $60k-98k yearly Auto-Apply 39d ago
  • Product Liability Litigation Adjuster

    CVS Health 4.6company rating

    Claims adjuster job in Denver, CO

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** As a Product Liability Litigation Adjuster, Risk Management, you will be responsible for managing lawsuits and overseeing outside counsel defending CVS in high exposure, product liability mass tort litigations and general liability cases filed throughout the United States. Responsibilities include: + Developing relationships with internal colleagues for fact-finding and key litigation activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution. + Managing all aspects of product liability mass tort litigations and complex general liability cases. + Working with outside national counsel and sr. management to develop consistent litigation strategies applicable to mass tort cases filed across the country. + Providing reporting to key internal stake holders on case developments and litigation trends for product liability mass torts and other cases. + Managing large scale discovery investigations by working with internal custodians, outside counsel and vendors to develop comprehensive procedures for identifying, locating, preserving and producing corporate records. + Analyzing case and internal materials and utilizing resources across CVS to discern key issues and identify the litigation strategy in every case assigned. + Creating a plan for claim evaluation to most efficiently resolve or defend cases against CVS while working with and overseeing outside counsel. + Participating in meetings and attending mediation and trial as necessary to oversee and assist in the defense or resolution of cases. **Required Qualifications** + 2+ years of legal experience, ideally with a law firm or as a litigation adjuster with a large self-insured company or insurance carrier. + Juris Doctor degree from an ABA accredited university. + Ability to travel and participate in legal proceedings, arbitrations, depositions, etc. **Preferred Qualifications** + Experience overseeing or defending product liability claims and litigation. + Familiarity or experience with insurance and coverage issues related to litigated claims. + Strong attention to detail and project management skills. + Experience overseeing and answering written discovery. + Ability to work independently and in an environment requiring teamwork and collaboration. + Strong written and verbal communication skills. + Demonstrated negotiation skills and ability. + Ability to articulate and summarize cases with management in a concise, cogent manner. + Litigation experience at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation, including mediation experience and trial exposure. + 3-5 years of legal or claims experience. + Familiarity with the rules and procedures applicable to mass tort litigations, class actions, and/or multidistrict litigations. + Knowledge and experience navigating attorney-client privilege issues, corporate litigation holds, corporate witness depositions, and e-discovery. + Ability to influence and work collaboratively with senior leaders, CVS' in-house legal counsel and outside counsel. + Proficient in Microsoft applications (Word, Excel, PowerPoint, Outlook) with a proven ability to learn new software programs and systems. + Ability to positively and aggressively represent the company at mediation, arbitration and trial. + Ability to navigate difficult situations and communicate effectively with both internal and external groups. + Excellent organizational and time management skills and ability to handle a high volume of litigated claims. + Experience with and understanding of legal documents (pleadings, discovery, motions and briefs). **Education** + Verifiable Juris Doctor degree **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 01/03/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
    $47k-122.4k yearly 58d ago
  • Senior Construction Claims Analyst

    MWH 4.6company rating

    Claims adjuster job in Broomfield, CO

    MWH is a leading water and wastewater treatment-focused general contractor in the US with a rich history dating back to the 19th century. Fueled by the mission of Building a Better World, our teams are rapidly growing across the nation. As a company committed to our team's well-being and growth, we offer a supportive work environment, opportunities for advancement, and the chance to contribute to a mission that shapes the future. Your expertise and ambition are valued here. The work we do matters. The critical systems infrastructure we build changes lives, betters' communities, and improves ecosystems. If you're passionate about this, we want to hear from you! About the Role MWH is seeking a remote Senior Construction Claims Analyst. The Analyst will be responsible for evaluating, analyzing, and resolving construction-related claims and disputes. This role requires a strong understanding of construction contracts, project management, and claim resolution processes. This position will also require 50% travel. Essential Functions Review and analyze construction claims, including delay, disruption, acceleration, and other impact claims. Assess the validity and potential impact of claims on project schedules, budgets, and resources. Prepare detailed claims reports, including cause-effect analysis, quantum assessment, and recommendations for resolution. Collect, organize, and maintain all necessary documentation related to claims, including contracts, change orders, correspondence, schedules, and cost records. Ensure all claims documentation complies with contractual, legal, and regulatory requirements. Work with legal counsel, project managers, and senior leadership to develop and implement strategies for resolution of claims. Participate in negotiations, mediation, and arbitration processes to resolve claims. Provide expert testimony and support in legal proceedings, if necessary. Identify potential claims and disputes early in the project lifecycle and provide proactive advice to mitigate risks. Assist in developing and implementing best practices for claims management across the organization. Liaise with project teams, contractors, subcontractors, and external consultants to gather information and support claims analysis. Communicate findings and recommendations to stakeholders clearly and effectively. Provide training and guidance to junior staff on claims analysis and management. Basic Qualifications Bachelor's degree in Construction Management, Engineering, Law, or a related field. Master s degree or a professional certification (e.g. CCM, PMP, RICS) is preferred. Minimum of 8 years experience in construction claims analysis, with a focus on large-scale infrastructure projects. Extensive knowledge of construction contracts, claims management, and dispute resolution. Experience with various construction delivery methods, including Design-Bid-Build (DBB), Design-Build (DB), and CMAR. Strong analytical and problem-solving skills with the ability to interpret complex data and draw accurate conclusions. Excellent written and verbal communication skills, with the ability to present findings clearly and persuasively. Proficiency in construction management software (e.g. Primavera 6, MS Project) and claims analysis tools. Strong understanding of legal and regulatory aspects of construction claims. Compensation The anticipated compensation for this position is $175,000-$225,000/yr depending on previous experience. Benefits Group health & welfare benefits including options for medical, dental and vision 100% Company Paid Benefits: Employee Life Insurance & Accidental Death & Dismemberment (AD&D), Spouse and Dependent Life & AD&D, Short Term Disability (STD), Long Term Disability (LTD), Employee Assistance Program and Health Advocate Voluntary benefits at discounted group rates for accidents, critical illness, and hospital indemnity Flexible Time Off Program (includes vacation and personal time) Paid Sick and Safe Leave Paid Parental Leave Program 10 Paid Holidays 401(k) Plan (company matching contributions up to 4%). Employee Referral Program MWH Constructors is a global project delivery company in heavy civil construction with a focus on water and wastewater treatment infrastructure. With the ultimate goal of delivering maximum value to clients and their local communities, MWH Constructors provides single-source, integrated design and construction services through a full range of project delivery methods. Incorporating industry-leading preconstruction and construction services, the Company s multi-disciplined team of engineering and construction professionals delivers a wide range of projects, including new facilities, infrastructure improvement and expansion, and capital construction services. Equal Opportunity Employer, including disabled and veterans. Please note that all positions require pre-employment screening, including drug and background check, as a condition of employment. #LI-SW1 #LI-Onsite
    $74k-94k yearly est. 60d+ ago
  • Claims Adjuster - Workers Comp | Must Reside in Denver, Colorado

    Sedgwick Claims Management Services, Inc. 4.4company rating

    Claims adjuster job in Denver, CO

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Comp | Must Reside in Denver, Colorado Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? * Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. * Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. * Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. * Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. * Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. * Enjoy flexibility and autonomy in your daily work, your location, and your career path. * Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs. ARE YOU AN IDEAL CANDIDATE? To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. ESSENTIAL RESPONSIBLITIES MAY INCLUDE * Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. * Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. * Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. * Manages subrogation of claims and negotiates settlements. * Communicates claim action with claimant and client. * Ensures claim files are properly documented and claims coding is correct. * May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. * Maintains professional client relationships * Performs other duties as assigned. * Supports the organization's quality program(s). * Travels as required. QUALIFICATIONS Education and Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience Four (4) years of claims management experience or equivalent combination of education and experience required. TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($61,857.00 - $ 86,600.00 USD Annual). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
    $61.9k-86.6k yearly Auto-Apply 36d ago
  • Denver Area Daily Claims Adjuster

    Cenco Claims 3.8company rating

    Claims adjuster job in Denver, CO

    CENCO Claims is seeking a skilled Daily Property Adjuster to handle residential and commercial property claims in the Denver, CO area. This field-based role offers steady claim volume, flexible scheduling, and responsive support from our experienced team. Key Responsibilities: Perform on-site inspections of property damage Prepare accurate estimates using Xactimate Take clear photos and document all findings Communicate effectively with policyholders and insurance carriers Submit timely, complete, and professional claim files Requirements: Proficient in Xactimate Strong knowledge of property damage and repair Excellent communication and time management skills Reliable vehicle and valid driver's license Colorado or designated home state adjuster license Preferred: 2+ years of field adjusting experience What We Offer: Competitive per-claim compensation Regular claim volume in the Denver metro area Flexible schedule and autonomy in the field Ongoing support from experienced claims staff Opportunities for long-term work and advancement Apply Today
    $46k-56k yearly est. Auto-Apply 60d+ ago
  • Sr Claims Representative

    Bitco Insurance Companies 3.5company rating

    Claims adjuster job in Lakewood, CO

    BITCO Corporation, headquartered in Davenport, IA, is currently seeking a Sr. Claims Representative to join our branch office located in Lakewood, CO. With 11 branch offices in 10 states, BITCO provides quality insurance services to specialized industries including construction, forest products and oil & gas. This position is eligible for a hybrid work schedule with required business travel to BITCO office locations and customer offices. Position Summary: This position provides key support in the handling of claims across multiple lines of coverage, with a focus on Liability (Commercial Auto and General Liability). This includes assessing claim coverage, liability, legal and damage issues, and investigating, evaluating, and effectively resolving all assigned claims in a timely manner according to company and regulatory guidelines. Provides a high level of customer service to internal and external business partners. Primary Responsibilities: Review, analyze, and interpret policy conditions, exclusions, and endorsements to resolve coverage and liability issues for assigned claims Prepare reservation of rights letters, nonwaiver agreements, and coverage disclaimers to address claim coverage issues Review and evaluate claim reserves to ensure that the respective reserve properly reflects the potential exposure Investigate claims to evaluate coverage and legal issues, which may include meeting with Insureds and witnesses, and obtaining statements, records, and other evidentiary materials Provide proper documentation and reporting of investigation and claims handling activities Negotiates, including through mediation, arbitration, or other court-supervised settlement efforts, settles, and resolves claims with claimants, insureds, and their lawyers; provides appropriate claims resolution documents Maintain a working knowledge of regulatory and jurisdictional requirements Provides direction to and management of defense counsel, independent adjusters and other third parties retained to assist in a particular claim Identify and pursue (if applicable) risk transfer opportunities Other duties as assigned Qualifications: Minimum of 5 years of experience with the following: Coverage Review - interpreting policies, agreements/contracts, reservation of rights, and disclaimers Claims Investigation - Statements, authorizations, retention of qualified experts and counsel Claims Administration - Reports, review reserves, compliance knowledge of laws and procedures Claims Settlement - Preparation of disclaimer letters, releases, and proof of loss statements; participation in legal court proceedings when necessary Knowledge of coverage, negligence principles, investigation, and negotiation techniques Ability to obtain and maintain state adjusting licenses, as needed Must be service-oriented, with the ability to provide prompt, efficient, and effective claims and customer service Ability to communicate clearly and effectively with our customers, claimants, opposing counsel, defense counsel, and members of the public Ability to manage and organize workload of multiple tasks simultaneously Excellent judgement, negotiation, and decision making skills Must be able to travel between different off-site locations or overnight in an expeditious manner Experience in handling liability claims in western states, inclusive of Montana, Wyoming, Colorado, New Mexico, Idaho, Utah, Arizona, California, Washington and Oregon Salary Range: $70,000-$100,000, commensurate with experience Benefits: Competitive salary and benefits Paid time off and 12 paid holidays a year Health, dental, and vision insurance Company paid life insurance - 2x annual earnings Old Republic 401(k) Savings and Profit Sharing Plan Education and training opportunities Insurance designations encouraged with financial assistance available Daily two-hour flexible start and end time for 7.5-hour workday Employee Fitness Program
    $70k-100k yearly 12h ago
  • Field Claims Representative

    Auto-Owners Insurance 4.3company rating

    Claims adjuster job in Broomfield, CO

    *Applications are accepted on an ongoing basis. An open position may not be available at this time. Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated Field (property) Claims professional to join our team. The position requires the following, but is not limited to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability. Handles multi-line property and casualty claims in an assigned territory with an emphasis on property claims. Become familiar with insurance coverage by studying insurance policies, endorsements and forms. Works toward the resolution of claims, and may attend arbitrations, mediations, depositions, or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Handle investigations by phone, mail and on-site investigations. Desired Skills & Experience Bachelor's degree or equivalent experience A minimum of 3 years handling multi-line property and casualty claims with an emphasis on property claims Field claims handling experience is helpful but not required Knowledge of Xactimate software is preferred but not required Above average communication skills (written and verbal) Ability to resolve complex issues Organize and interpret data Ability to handle multiple assignments Possess a valid driver's license Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent benefits package. Along with a matched 401(k), fully-funded pension plan (once vested), Auto-Owners also offers medical, prescription, dental and vision insurance; associate, spouse and child life insurance; supplemental sick pay; long term disability; health care flexible spending accounts and dependent care flexible spending accounts. Additional benefits include: generous paid time off including holidays, vacation days, personal time, sick leave and parental leave; adoption assistance; discounts on personal insurance; education matching gift program; student loan assistance program, a gym membership and fitness class reimbursement program and a company car. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Compensation Auto-Owners offers a generous compensation package. For this position, the anticipated annualized starting base pay range is: $62,000.00 - $95,300.00. Other components of the compensation package include benefit dollars used to purchase certain benefits and several bonus opportunities. Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-AT1 #LI-Hybrid
    $62k-95.3k yearly Auto-Apply 24d ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims adjuster job in Denver, CO

    At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at ********************** Overview: Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Key Responsibilities: - Planning and organizing daily workload to process claims and conduct inspections - Investigating insurance claims, including interviewing claimants and witnesses - Handling property claims involving damage to buildings, structures, contents and/or property damage - Conducting thorough property damage assessments and verifying coverage - Evaluating damages to determine appropriate settlement - Negotiating settlements - Uploading completed reports, photos, and documents using our specialized software systems Requirements: - Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces - Strong interpersonal communication, organizational, and analytical skills - Proficiency in computer software programs such as Microsoft Office and claims management systems - Self-motivated with the ability to work independently and prioritize tasks effectively - High school diploma or equivalent required - Previous experience in insurance claims or related field is a plus but not required Next Steps: If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps. Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
    $46k-56k yearly est. Auto-Apply 32d ago
  • Independent Insurance Claims Adjuster in Denver, Colorado

    Milehigh Adjusters Houston

    Claims adjuster job in Denver, CO

    IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
    $45k-55k yearly est. Auto-Apply 60d+ ago
  • Casualty Claims Adjuster

    Randstad North America, Inc. 4.6company rating

    Claims adjuster job in Englewood, CO

    Randstad US is a wholly owned subsidiary of Randstad Holding nv, an $18.8 billion global provider of HR services and the second largest staffing organization in the world. We play a pivotal role in shaping the world of work, leveraging the true value of human capital for the benefit of our clients, candidates, employees and investors. Job Description Randstad is currently recruiting a Casualty Adjuster for a private mutual company that focuses on property, casualty and auto insurance in Englewood, Colorado. The ideal candidate would have minimum of 2-5 years of experience. This role will primarily handles non-injury casualty claims of minor to moderate complexity that may include, but are not limited to, comparative fault, coverage investigation, and auto thefts. Primary Responsibilities: - Investigates and processes insurance claims file by our policyholders and 3rd parties - Obtains recorded statements from our policyholders, claimants & witnesses to gather pertinent information - Determines liability and applies comparative negligence when applicable. - Determines if coverage applies through investigation - Sets expectations with our customers Qualifications Required Skills: - A minimum of 2-5 years of experience is required to be considered for this position. - Recognizes and interprets primarily Auto, Homeowner, Specialty and Recreational policies. - Reviews loss report and any prior action taken on the file to determine next steps. - Analyzes and evaluates factual information to formulate an opinion on liability claim losses that do not involve bodily injury, including loss of use and related expenses. - Escalates cases that involve injury and/or current or prior medical history/problems. - Manages individual claim inventory and collaborates with peers to achieve unit and branch results. - Utilizes the electronic integrated claim system and other technologies to complete and document actions throughout the life of the file. - Negotiates and settles claims in accordance with divisional expectations - Establishes rapport with business partners (agency, personal lines, legal, etc.) and builds ongoing relationships by including stakeholders in the claim handling process as appropriate. Additional skills: - Knowledge and understanding of policies and endorsements related to casualty coverage - Demonstrated experience handling casualty claims - Knowledge and understanding of each phase of casualty claim process Additional Information For further details contact: Cenla Ganzon Executive Recruiter Randstad General Staffing Office: **************** Email: cenla.ganzon@randstadusa_.com
    $46k-56k yearly est. 15h ago
  • Senior General Liability Claims Adjuster

    Honeycomb Insurance

    Claims adjuster job in Denver, CO

    At Honeycomb, we're not just building technology , we're reshaping the future of insurance. In 2025, Honeycomb was ranked by Newsweek as one of “America's Greatest Startup Workplaces,” and Calcalist named it as a “Top 50 Israel startup.” How did we earn these honors? Honeycomb is a rapidly growing global startup, generously backed by top-tier investors and powered by an exceptional team of thinkers, builders, and problem-solvers. Dual-headquartered in Chicago and Tel Aviv (R&D center), and with 5 offices across the U.S., we are reinventing the commercial real estate insurance industry, an industry long overdue for disruption. Just as importantly, we ensure every employee feels deeply connected to our mission and one another. With over $55B in insured assets, Honeycomb operates across 18 major states, covering 60% of the U.S. population and increasing its coverage. If you're looking for a place where innovation is celebrated, culture actually means something, and smart people challenge you to be better every day - Honeycomb might be exactly what you've been looking for. What You'll Do The General Liability Claims Adjuster is responsible for managing all aspects of the claims process-from initial investigation through final resolution-while ensuring each claim is handled promptly, thoroughly, and fairly. This position involves evaluating and resolving claims arising from bodily injury, property damage, premises liability, and products/completed operations. The adjuster will oversee a caseload of moderate to complex matters, maintaining compliance with company best practices, policy provisions, and applicable legal standards. Collaboration with insureds, claimants, attorneys, and other key stakeholders is essential to achieving timely and equitable claim outcomes. Key Responsibilities: Review Claims Documentation: Evaluate photos, estimates, incident reports, contracts, and other materials submitted by insureds, claimants, or field adjusters to assess damages and determine the scope of loss. Investigate Liability: Conduct thorough investigations by obtaining statements, reviewing police and incident reports, and analyzing evidence to determine liability and coverage applicability. Manage the Claims Process: Handle claims from initial notice through final resolution, ensuring timely action, accurate documentation, and adherence to company standards and best practices. Negotiate Settlements: Engage with insureds, claimants, and vendors to negotiate equitable and timely settlements within assigned authority levels. Handle Litigated Claims: Collaborate with defense counsel to manage litigation, review pleadings and discovery, monitor case progress, and participate in mediations or settlement discussions as needed. Provide Exceptional Customer Service: Act as the primary point of contact for policyholders and claimants, delivering clear communication, guidance on coverage, and responsive support throughout the claims process. Maintain Detailed File Documentation: Accurately record all investigations, communications, analyses, and decisions in compliance with company procedures and regulatory standards. Ensure Regulatory and Procedural Compliance: Follow all company policies, state regulations, and industry standards in every phase of claims handling. Interpret Coverage: Analyze and apply policy language, endorsements, and exclusions to determine coverage and resolve claims appropriately. Skills and Qualifications: Licensure: Independent Adjustor License in home state or a designated home state required, Texas or California Preferred Education: Bachelor's degree preferred. Experience: Minimum of 5 years of experience handling general liability claims (habitational, premises, or commercial liability preferred). Prior experience handling litigated claims preferred. Knowledge, Skills, & Abilities: Strong understanding of general liability coverage forms and legal liability principles. Excellent written and verbal communication skills, including the ability to draft detailed coverage letters and reports. Strong negotiation, analytical, and decision-making skills. Proficiency with claim management systems and Microsoft Office Suite. Ability to manage a diverse workload, prioritize effectively, and meet deadlines in a fast-paced environment. High degree of professionalism, integrity, and attention to detail. Work Environment: The General Liability Adjuster primarily works in an office setting and handles claims remotely, without field visits. This role involves working with various departments, including claims, underwriting, and customer service teams, to ensure smooth claim processing. This position is remote unless located within a reasonable commute from one of our offices (Chicago, Austin, Denver, Roseville). If near an office hub, the position is hybrid 3x / week (Normally in office Tuesday - Thursday). Physical Requirements: Ability to work at a desk for extended periods. Minimal travel may be required for training or occasional meetings. Benefits & Compensation: Salary range: $110,000 - $135,000, plus a target 5% annual bonus ISO stock options Medical, dental, and vision coverage for you and your dependents HSA with company contributions 401(k) (non-matching) Flexible time off 10 company-paid holidays Paid family leave Honeycomb is committed to fair and equitable compensation practices. The base salary range listed in each job posting represents our good faith estimate of what we expect to pay for the role. Actual compensation may vary based on skills, experience, education, and location, as well as internal alignment and market factors.
    $41k-58k yearly est. Auto-Apply 5d ago
  • Sr. Claims Representative- Denver, CO

    The Jonus Group 4.3company rating

    Claims adjuster job in Denver, CO

    The Senior General Liability Representative will manage and investigate complex general liability claims related to construction contractors. This role requires specialized knowledge in handling construction-related liability claims, including bodily injury, property damage, and contractual liabilities. The ideal candidate will work closely with contractors, legal teams, and external parties to assess claims, mitigate risk, and ensure fair resolutions. Key Responsibilities Investigate, evaluate, and manage complex general liability claims related to construction contractors. Analyze contracts, policies, and coverage to determine liability exposure. Coordinate with insured contractors, legal counsel, adjusters, and external experts to gather relevant documentation and evidence. Ensure compliance with local, state, and federal regulations governing construction liability claims. Negotiate settlements with claimants, attorneys, and insurance carriers in a timely and cost-effective manner. Represent the organization in mediations, arbitrations, and legal proceedings. Provide recommendations on claims management strategies, risk mitigation, and contractor safety practices. Prepare detailed reports and summaries for internal and external stakeholders. Maintain up-to-date knowledge of construction industry practices, regulations, and emerging risks. Collaborate with underwriting and risk management teams to review claims trends and suggest improvements to policies and procedures. Qualifications Bachelor's degree in insurance, Risk Management, Business, or related field. 2+ years of experience in general liability claims handling, preferably in the construction sector. In-depth knowledge of construction contracts, contractor risks, and related legal matters. Strong analytical, negotiation, and communication skills. Ability to manage complex claims files and multiple priorities simultaneously. Proficiency with claims management systems and MS Office Suite. Adjuster's license preferred. Skills Expertise in construction-related liability claims. Strong organizational and case management abilities. Excellent written and verbal communication. Ability to work independently and as part of a team. High level of attention to detail and accuracy. Benefits Competitive salary Health, dental, and vision insurance 401(k) Paid time off and holidays Professional development opportunities Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion. #LI-PR1
    $53k-78k yearly est. 60d+ ago
  • Field Property Claims Adjuster

    Liberty Mutual 4.5company rating

    Claims adjuster job in Aurora, CO

    Join us as a Field Property Claims Adjuster where you'll be responsible for helping our customers navigate the claims process and get back on their feet following damage to the homeowner's property. This is a role where people who love every day to be new, different and exciting, can thrive - you'll be traveling on the road to meet customers in person, providing hands-on assessment of damage and empathetic support. The Field Property Claims Adjuster will be traveling locally to insured homes within the Aurora, CO (80013) and surrounding areas. To be successful within the role, candidates should live within or near this area. Sign-On Bonus Available! We're offering a sign-on bonus for experienced and actively licensed new hires. What you'll do * Investigate and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages. This may include accessing roofs by ladder, inspecting attics, crawl spaces and basements in search of damage. * Handle moderate to complex claims independently while managing your workload, from first notice of loss to final closure. * Be expected to work in a vehicle in the field daily while occasionally handling assignments from the desk. * Explain coverage of loss, assist policyholders with itemization of damages, emergency repairs and additional living arrangements. * Work with and coordinate a few vendor services such as contractors, emergency repair, cleaning services and various replacement services. * May be called upon for catastrophe duty. Position details * Territory-based work: Most workdays will be spent in the field within your assigned local territory, giving you the opportunity to work directly with customers and gain hands-on experience. * Training & support: To set you up for success, you'll participate in a comprehensive 5-month training program, which includes: * Primarily virtual and on-the-job learning. * Two short in-person training sessions (Weeks 4 and 7) at our Lewisville, TX office. * Limited overnight travel for training and team meetings (typically less than 10%). * Mileage Reimbursement: This role offers mileage reimbursement. You may qualify for a company-provided vehicle once mileage requirements are met. Additional details will be provided if you advance in the selection process. Qualifications * Working knowledge of claims handling procedures and operations. * Proven ability to provide exceptional customer service. * Effective negotiation skills. * Ability to effectively and independently manage workload while exhibiting good judgment. * Strong written/oral communication and interpersonal skills. * Computer skills with the ability to work with multi-faceted systems. * The capabilities, skills and knowledge required through a bachelor's degree or equivalent experience and at least 1 year of directly related experience. * Ability to obtain proper licensing as required. * The ability to handle multiple competing priorities and organize your day. * Strong time management and organizational skills. * Demonstrated understanding of building construction principles. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco
    $49k-58k yearly est. Auto-Apply 60d+ ago
  • Sr. Claims Examiner - PIP

    Philadelphia Insurance Companies 4.8company rating

    Claims adjuster job in Englewood, CO

    Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best. We are looking for a Sr. Claims Examiner - PIP to join our team! Summary: Analyze insurance claims to determine extent of Insurer's obligations. Settle claims with first and third party claimants in accordance with policy provisions and applicable law. A typical day will include the following: Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts. Travel is required to attend customer service calls, mediations, and other legal proceedings. Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Communicates with all relevant parties and documents communication as well as results of investigation. Qualifications: High School Diploma; Bachelor's degree from a four-year college or university preferred. Five plus years related experience and/or training; or equivalent combination of education and experience. Three plus years of PIC related experience and an AIC Designation will be considered for employees in good standing with excellent claim audit scores. Compensation Range : $90,226.00 - $100,840.00 Ultimate salary offered will be based on factors such as applicant experience and geographic location. EEO Statement: Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law. Benefits: We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online. Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************
    $90.2k-100.8k yearly Auto-Apply 60d+ ago
  • Liability Claims Specialist (Construction Defect)

    CNA Financial Corp 4.6company rating

    Claims adjuster job in Littleton, CO

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This individual contributor position works under moderate direction, and within defined authority limits, to manage third party liability construction defect commercial claims with moderate to high complexity and exposure. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s). JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: * Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. * Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information. * Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols. * Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim. * Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims. * Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate. * Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service. * Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation. * Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements. * Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business. * May serve as a mentor/coach to less experienced claim professionals May perform additional duties as assigned. Reporting Relationship Typically Manager or above Skills, Knowledge & Abilities * Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices. * Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed. * Demonstrated ability to develop collaborative business relationships with internal and external work partners. * Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions. * Demonstrated investigative experience with an analytical mindset and critical thinking skills. * Strong work ethic, with demonstrated time management and organizational skills. * Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity. * Developing ability to negotiate low to moderately complex settlements. * Adaptable to a changing environment. * Knowledge of Microsoft Office Suite and ability to learn business-related software. * Demonstrated ability to value diverse opinions and ideas Education & Experience: * Bachelor's Degree or equivalent experience. * Typically a minimum four years of relevant experience, preferably in claim handling. * Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience. * Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. * Professional designations are a plus (e.g. CPCU) #LI-KP1 #LI-Hybrid In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
    $54k-103k yearly Auto-Apply 12d ago
  • Senior Construction Claims Analyst

    Slayden

    Claims adjuster job in Broomfield, CO

    MWH is a leading water and wastewater treatment focused general contractor in the US with a rich history dating back to the 19th century Fueled by the mission of Building a Better World our teams are rapidly growing across the nation As a company committed to our teams well being and growth we offer a supportive work environment opportunities for advancement and the chance to contribute to a mission that shapes the future Your expertise and ambition are valued here The work we do matters The critical systems infrastructure we build changes lives betters communities and improves ecosystems If youre passionate about this we want to hear from you About the Role MWH is seeking a remote Senior Construction Claims Analyst The Analyst will be responsible for evaluating analyzing and resolving construction related claims and disputes This role requires a strong understanding of construction contracts project management and claim resolution processes This position will also require 50 travel Essential Functions Review and analyze construction claims including delay disruption acceleration and other impact claims Assess the validity and potential impact of claims on project schedules budgets and resources Prepare detailed claims reports including cause effect analysis quantum assessment and recommendations for resolution Collect organize and maintain all necessary documentation related to claims including contracts change orders correspondence schedules and cost records Ensure all claims documentation complies with contractual legal and regulatory requirements Work with legal counsel project managers and senior leadership to develop and implement strategies for resolution of claims Participate in negotiations mediation and arbitration processes to resolve claims Provide expert testimony and support in legal proceedings if necessary Identify potential claims and disputes early in the project lifecycle and provide proactive advice to mitigate risks Assist in developing and implementing best practices for claims management across the organization Liaise with project teams contractors subcontractors and external consultants to gather information and support claims analysis Communicate findings and recommendations to stakeholders clearly and effectively Provide training and guidance to junior staff on claims analysis and management Basic Qualifications Bachelors degree in Construction Management Engineering Law or a related field Masters degree or a professional certification eg CCM PMP RICS is preferred Minimum of 8 years experience in construction claims analysis with a focus on large scale infrastructure projects Extensive knowledge of construction contracts claims management and dispute resolution Experience with various construction delivery methods including Design Bid Build DBB Design Build DB and CMARStrong analytical and problem solving skills with the ability to interpret complex data and draw accurate conclusions Excellent written and verbal communication skills with the ability to present findings clearly and persuasively Proficiency in construction management software eg Primavera 6 MS Project and claims analysis tools Strong understanding of legal and regulatory aspects of construction claims Compensation The anticipated compensation for this position is 175000 225000yr depending on previous experience Benefits Group health & welfare benefits including options for medical dental and vision100 Company Paid Benefits Employee Life Insurance & Accidental Death & Dismemberment AD&D Spouse and Dependent Life & AD&D Short Term Disability STD Long Term Disability LTD Employee Assistance Program and Health AdvocateVoluntary benefits at discounted group rates for accidents critical illness and hospital indemnity Flexible Time Off Program includes vacation and personal time Paid Sick and Safe LeavePaid Parental Leave Program10 Paid Holidays 401k Plan company matching contributions up to 4Employee Referral ProgramMWH Constructors is a global project delivery company in heavy civil construction with a focus on water and wastewater treatment infrastructure With the ultimate goal of delivering maximum value to clients and their local communities MWH Constructors provides single source integrated design and construction services through a full range of project delivery methods Incorporating industry leading preconstruction and construction services the Companys multi disciplined team of engineering and construction professionals delivers a wide range of projects including new facilities infrastructure improvement and expansion and capital construction services Equal Opportunity Employer including disabled and veterans Please note that all positions require pre employment screening including drug and background check as a condition of employment LI SW1 LI Onsite
    $40k-64k yearly est. 60d+ ago

Learn more about claims adjuster jobs

How much does a claims adjuster earn in Commerce City, CO?

The average claims adjuster in Commerce City, CO earns between $42,000 and $60,000 annually. This compares to the national average claims adjuster range of $40,000 to $64,000.

Average claims adjuster salary in Commerce City, CO

$50,000

What are the biggest employers of Claims Adjusters in Commerce City, CO?

The biggest employers of Claims Adjusters in Commerce City, CO are:
  1. Network Adjusters
  2. Sedgwick LLP
  3. Work At Home Vintage Experts
  4. Eac Holdings LLC
  5. GuideOne Insurance
  6. Cenco
  7. Milehigh Adjusters Houston
  8. The Mutual Group
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